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Joined Oct 5, '11 - from 'The Deep South'. BostonTerrierLoverRN is a Travel Nursing/ER/Trauma. He has '10' year(s) of experience and specializes in 'Adult/Ped Emergency and Trauma'. Posts: 1,272 (77% Liked) Likes: 3,878

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  • Mar 29

    I am really thankful Suboxone came out, I really hope it doesn't get the same rep as Methodone. This stuff is really changing people's lives in ways I haven't seen yet in the addictionology arena (if they can afford it), as a medication goes.

    What makes me angry is how physicians are profiting off of it, I left a clinic (with my two weeks notice like a good boy) when a doctor started charging $250 for Suboxone visits, $400 for initial (self pay patients), then they go pay $7 per pill or foil. I am really a fan of this stuff, but it really breaks my heart you can go see the same doctor, feign back pain well enough, and walk out with a score of XXX drugs(for just $75 regular visit, but when you are there to (Admit you have a problem),begin the steps of recovery its 3-5 times the price. I see this becoming a regular practice in Mississippi, Alabama, Louisiana, Georgia, Tennesse, N. Carolina and Texas (My stomping grounds), so I know it's probably nationwide!

    I hope there is relief for Suboxone patients soon, I know there is a special program for patients (its an act of congress), but I understand only a very small percentage get help through Beckitt Reckinser. Also, since it's a specialty drug (doc's have to go to special training to prescribe it, heavily mandated, and minimum pts allowed on program) I dread that there may not be a generic for it (I have no idea how that works). I believe in this med. This med is saving lives.

    Boston Steps off Soap Box.

  • Mar 19

    I did stay at a Holiday Inn last night . . .?

    I don't blame you for not wanting to wipe butts, but hope you do wipe your own. Wiping others is pretty similar. Wiping should always be done front to back to avoid nasty infections! According to the bear on TV, Charmin leaves less pieces behind.

    If you don't get over this fear of butt wiping, please do not pursue the caregiver route. I have a unreasonable fear of being in a Nursing Home with a crusty dirty butt. And, gauging from my luck, and this post, I would probably be your first patient.

    Toilet Paper can be a Fomite.

  • Jan 13

    I did it 9 years ago, from ADN, and MSN- and my best advice is coffee, 3 alarm clocks, and the rest I plead the 5th- but it can be done.

    I would also have to give TONS of credit to my wife who also worked 40 hour weeks going to get her AS-MSW. I couldn't have done it without her, and she didn't even laugh at me when she caught me in the shower with my socks on before I realized it.

    Life Happens!

    Boston

  • Jan 5

    "A good assessment and medical history can take up to 20 minutes; a bad one can take a life."

    -written on one my Emergency Department's Office Walls.

  • Jan 5

    I don't think anyone was being disrespectful or negative to you, in fact, I was so proud of the way the posters addressed this complex issue. The bottom line is the OP was talking about the "judgement" factor.

    Yes, it is very horrible, no ones asking to "lie in the bed they made...," however, we shouldn't assist anyone to rock bottom, and if I was I your supervisor, I would expect you to excuse yourself from treating patients who are addicts/alcoholics just as I wouldn't allow a nurse who was sexually molested to have to treat an offender- all because we are supposed to offer the best care possible; free of bias.

    No one is trying to be negative, in fact they are responding to the negativity of one post who went against the grain, and believes they might know more than the medical community, generations of studies, and common diagnostics that it isn't even a disease. You can't fill an empty cup, so the advice I always have seen given is to relieve yourself from treating a patient you can't treat without a "negative" bias.

    I am sorry you were raised around addiction- it is a hell to live with, and even worse to experience. I'm sure they too wish they had normal lives, but the disease is gripping, and patients affected don't need our help to feel worse, "or let them face fall." I entered Nursing to relieve suffering.

    I'm not going against the grain of centuries of progress to say, let them suffer alone, "they made their bed." No, I'm going to do what I can to point the way of wholeness, health, and better life, no matter if they are deserving or not-they are my patient.

  • Dec 2 '16

    Wow, there is this predominance in the nursing profession to get a strong foundation in Med-Surg nursing before venturing out to see what else is out there, . . .

    Interesting thought, . .

    Are Doctors required to go through 1-4 years of being a general practitioner?

    I THINK IT DEPENDS ON THE PERSON, THE ENVIRONMENT, DESIRE, and DRIVE/MATURITY

  • Nov 27 '16

    Southern US Pain Scale
    0..........I feel ahrite
    1-5.......achin' a lil'
    5-6.......hurtin' worse
    7-8.......hurtin' "badder" now
    8-9.......really hurtin' a bunch
    9-10......hurtin' like hell
    10+.......Just Cut it off! -or- Pull it!

    What's really funny is that many of you will assume I am joking, Lol!

  • Nov 14 '16

    Okay, This always worked for me, but it takes a little creativity. Don't be afraid to sell yourself, you are a Vitally Important Educated Person in a TEMPORARILY challenging economy. You said you were awarded an honor upon graduation, so it is obvious you are very intelligent, goal driven, and totally deserving of THE JOB YOU WANT.

    1. This is just advice, you can chunk it by the way side, DO WHAT IS BEST FOR YOU!!!!

    2. MOST IMPORTANT- Don't settle (WITHIN REASON) if you want to be a Pediatric Cardiology Nurse (Example), don't go accept a LTC night position that is going to wear you down and burn you out! Home is where the heart is.

    3. Make copies of your Resume. NAMES ARE IMPORTANT. Learn the NAMES of the key players that will decide on your hiring. Choose a day Mon-Fri, Fridays are usually the best day to approach a Nurse Supervisor, just before or after lunch. Don't back away or cower if they immediately shut you down by "Sorry, no open positions right now. . ." You are in control, on the unit you want, the spotlight is on you! Immediately tell them why you are interested in their unit, and that you wanted to introduce your self. Hand a copy of the resume anyway. OFFERING TO VOLUNTEER W/O PAY TO ACCESS YOUR SKILLs IS A HUGE PLUS-although I have never seen anyone actually have to do it!

    The key here is FACIAL and PERSONALITY recognition. Learn there names, make sure they know you, THANK THEM REGUARDLESS OF HOW THEY ACT/ EVEN IF IT FEELS LIKE THEY BLOWING YOU OFF---->I did this to a girl one time as ER Coordinator because I was busy. She handed me a Resume that I pocketed to my wallet, and the next Monday, my Administrator told me he was moving one of my nurses to holding unit, and I would need to hire for one position in/out of facility, and IT REQUIRED ME TO POST IN NEWSPAPER, BUT CAN YOU GUESS WHAT HAPPENED?

    I already had a nurse that proved herself by not just leaving a faceless resume in the stack of applicants down in HR, I KNEW THIS GIRL, because she made an effort to look me up by name, find me, and pursue what she wanted. I felt like I "Knew her" as far as I had met her, knew her face, basic personality, and that is worth more than any Coverletter or Resume the others had-though they were a MUST, and just in case I would forget our encounter-she sent me a thank-you card. I thought, even though I blew her off, she was kind and thoughtful enough to thank me for my time?


    4. FOLLOW-UP
    The "Thank-You" card is a wonderful way to do this, and it makes A HUGE IMPRESSION. Send one to anyone at the facility who aided in your application process, you never know who holds what Clout with Who. Plus remember name recognition-it's one more chance to do this.

    5. LETTERS OF RECOMMENDATION
    This is a dying art that has made many a hirings possible. This is a person who is going out on a ledge to say, "You should hire this person." Get them from past employers, the edge is priceless, and it gives them perspective on who you are.

    Just having "REFERRALs AVAILABLE UPON REQUEST." will not cut it any more-know they ARE going to call your referrals, so have them prepared. Ask your referalls permission to list them.

    6. DO NOT GIVE UP. You have come so far, against so many obstacles to get where you are now, Nursing School has to be one of the most challenging experiences in the life of human beings, and you accomplished it!!! When you are down, remember how much you have achieved!!!!! You will have a great career, and this economic dip is temporary!!!!

    GOD BLESS AND BEST OF LUCK!!!!!!!!!!!!!!!!!!!

  • Sep 29 '16

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 28 '16

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 28 '16

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Sep 14 '16

    I got tickled reading Wooh's quote "Ethics are annoying, I avoid them on principle." and forgot what I was going to say. Like that! @Wooh

  • Aug 6 '16

    Ok,

    As an ER Coordinator, I have seen a few things off in interviews, but DEAR GOD, who hurt you so?

    It almost sounds like a vent!

    I always just feel sorry for the single mom in jeans who would be wearing dress pants if she could have afforded them, if I had put up a "red flag" I would have turned down one heck of a ER Tech, who is now a ER RN, One of "OUR," not "My" best on staff.

    These judgemental posts about how I am sooooooo much better than you because I follow the book to a "T," and "conform to the upper-crust of this Profession" sound so shallow and "God-complex" like.

    Some of the greatest minds out there have hair just like Einstien, or decided to get a tattoo, and I cannot begin to imagine how you differentiate on your patient care according to how they are dressed-or look.

    I think you missed your calling for cosmotologist, or a prissy hair dresser!

    Otherwise, I hope you work in a private, small, uptown hospital where you won't be ashamed by Wrangler wearing blue collar workers, but doubt that since you had to post a vent about hair washing, denim, and piercings!

    Old School is Okay, but Compassion, Understanding, and Empathy are still character traits that I would rather see than starch constipated china doll nurses!

    Thanks!

    Kyle

  • Jul 31 '16

    I agree, there is enough grief and pain in one lifetime to prevent the invitation of anymore- if you've been sober without any relapse issues for greater than 5 years and they don't know it, that's a blessing! Count it as one- and lay low

    You see, time passed means nothing really from their perspective. To them, an addict is a pickle. A pickle once was a cucumber- but no matter what you do, it's never going back to being a cucumber again. You and me are "pickles." We are just clean pickles that can be pickled again anytime. You are ahead of the game if they see you as a "cucumber" still- I wouldn't go looking for dill, vinegar, and a mason jar(sorry, terrible analogy).

    That is a ghost that can haunt your career and lifestyle more than you ever imagined if the BON does not already know your past. I live in that very real haunted present- even with near 5 years clean, and no diversion history or occupational related incidences.

  • Jul 14 '16

    I did it 9 years ago, from ADN, and MSN- and my best advice is coffee, 3 alarm clocks, and the rest I plead the 5th- but it can be done.

    I would also have to give TONS of credit to my wife who also worked 40 hour weeks going to get her AS-MSW. I couldn't have done it without her, and she didn't even laugh at me when she caught me in the shower with my socks on before I realized it.

    Life Happens!

    Boston


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